Colbert Psychotherapy & Consulting, Inc.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

COLBERT PSYCHOTHERAPY & CONSULTING, INC.

Practice address

255 S 17TH St Ste 2121
Philadelphia, PA 19103-6211

Phone

(530) 830-2558

NPI assigned

Aug 26, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel Max Colbert, PHDNPI 1295433498

Title

Owner

Phone

(516) 698-0174

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Max Colbert, PHD

  • Counseling Psychologist
  • Philadelphia, PA
  • NPI 1295433498
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1306724430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 BEAUMONT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 2121",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036211",
            "telephone_number": "530-830-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBERT PSYCHOTHERAPY & CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-698-0174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agathe Colas, NP
• Joseph C Colasante, PHARM D.
• Richard John Colasante, RPH
• Kristen Colavita, DO
• Taylor Colavita
• Latesha L Colbert-Mack, CRNP
• Karen Ann Colbert, CRNA
• Samuel Max Colbert, PHD
• Valerietina Lorraine Colbert
• Luke Colbourn

• Counseling Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.